Logo
Indiana

Cost of a Hip Replacement Surgery Visit
in Indiana

Reviewed by Momentary Medical Group West PC

Indiana's healthcare system serves over 6.7 million residents through a network that spans from urban medical centers in Indianapolis to rural facilities across the state's 92 counties. Hip Replacement Surgery patients typically pay between $85 and $3,549, with a median out-of-pocket cost of $1,619 based on negotiated insurance rates. With 291 active Hip Replacement Surgery providers throughout Indiana, patients have access to specialists across major metro areas and smaller communities statewide.

Average

$1,751

Median

$1,619

Lowest

$85

Highest

$3,549

Providers

291

National avg: $2,015Indiana: $1,751

13% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Indiana?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$90$1,720$4,087257
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$70$669$1,385294
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$90$663$1,642260
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$827$1,834351
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$757$1,804411
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,104$2,719294
Septoplasty

Nasal septum repair

30520$90$683$1,472250
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$347$649274
Inguinal Hernia Repair

Inguinal hernia repair

49505$90$627$1,448250
Mastectomy

Partial or simple mastectomy

19301$85$774$1,818273
Carpal Tunnel Surgery

Open carpal tunnel release

64721$291$559$1,070246

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 27130Total hip arthroplasty). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 27130 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27130 (Total hip arthroplasty), as mandated by the CMS Price Transparency Rule.

What CPT 27130 covers: the provider's professional fee for hip replacement. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Indiana

These hospitals in Indiana are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
91% would recommend137 patient surveys
ORTHOINDY HOSPITAL

INDIANAPOLIS, IN

5/5
90% would recommend490 patient surveys
5/5
88% would recommend149 patient surveys
PINNACLE HOSPITAL

CROWN POINT, IN

5/5
84% would recommend114 patient surveys
5/5
81% would recommend137 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Hip Replacement Surgery Visit Costs Vary Across Indiana

Indiana's healthcare costs run approximately 6% below the national average, reflecting the state's lower cost of living and competitive provider market. The state's mix of urban medical centers and rural facilities creates significant cost variations, with Indianapolis commanding premium pricing while smaller communities offer more affordable options.

Urban vs. Rural Provider Availability

Indianapolis and Fort Wayne concentrate most of Indiana's orthopedic specialists, creating higher demand and pricing in these metropolitan areas compared to rural counties. Patients in southern and southeastern Indiana often travel to Louisville or Cincinnati for specialized Hip Replacement Surgery care, potentially affecting local pricing dynamics. Rural areas may have limited orthopedic coverage, forcing longer travel times but sometimes offering lower consultation fees.

Facility Type and Overhead Costs

Hospital-owned orthopedic practices in Indiana, particularly those affiliated with Indiana University Health, Community Health Network, and Parkview Health, typically charge higher facility fees than independent surgical groups. The state's growing ambulatory surgery center market has increased competition and provided cost-effective alternatives to hospital-based care. Academic medical centers like IU Health Methodist may charge premium rates but offer access to fellowship-trained subspecialists and advanced treatment options.

Insurance Market Competition in Indiana

Anthem dominates Indiana's individual and employer insurance markets, followed by UnitedHealthcare and the Indiana-based MDwise Medicaid plan, creating a moderately competitive environment. The concentration of major insurers allows for stronger negotiating power with providers, potentially keeping Hip Replacement Surgery visit costs more reasonable. Rural areas may have fewer insurer options, which can limit provider network choices and affect pricing flexibility.

Physician Supply and Demand in Indiana

With 291 active Hip Replacement Surgery providers serving Indiana's population of 6.7 million, the state maintains adequate orthopedic specialist availability in urban areas but faces shortages in rural regions. This relatively robust provider supply in metropolitan markets helps moderate pricing through competition, while rural shortages may drive up costs and extend wait times. The presence of multiple residency programs and the Indianapolis medical corridor helps maintain steady physician recruitment to the state.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Hip Replacement Surgery Costs in Indiana

What is the average cost of a Hip Replacement Surgery visit in Indiana without insurance?

Uninsured patients in Indiana can expect to pay between $85 and $3,549 for a Hip Replacement Surgery consultation, with the median cost being $1,619. These rates reflect what insurers have negotiated with providers, though cash-paying patients may be able to negotiate similar or lower rates. Many orthopedic practices offer self-pay discounts of 20-40% for patients who pay upfront, making the actual out-of-pocket cost potentially lower than the median rate.

Does Indiana Medicaid cover Hip Replacement Surgery visits?

Indiana Medicaid covers medically necessary Hip Replacement Surgery visits for eligible recipients, though the state did not expand Medicaid under the Affordable Care Act. Coverage is limited to pregnant women, children, parents earning less than 44% of federal poverty level, and individuals with disabilities. Medicaid patients may face limited provider networks and longer wait times, as not all orthopedic surgeons accept Medicaid due to lower reimbursement rates.

How do I find an affordable Hip Replacement Surgery near me in Indiana?

Compare costs across different facility types, as independent orthopedic practices often charge less than hospital-owned clinics in Indiana. Ask about self-pay discounts, payment plans, and package pricing that bundles consultation and follow-up visits. Community health centers and federally qualified health centers may offer sliding-scale fees based on income, while some practices provide discounted rates for cash-paying patients who schedule during less busy times.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Hip Replacement Surgery consultations typically cost between $85 and $3,549 with a median of $1,619, as these visits involve comprehensive evaluation, detailed history-taking, and often imaging review. Follow-up visits are generally less expensive since they focus on treatment progress and shorter examinations. The exact cost difference depends on the complexity of your case and whether additional procedures like injections or imaging are performed during the visit.

Can I use an HSA or FSA to pay for a Hip Replacement Surgery visit in Indiana?

Yes, Hip Replacement Surgery consultations qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for copays, deductibles, and any out-of-pocket costs related to your orthopedic care. Keep all receipts and documentation, as you may need to provide proof that the expenses were for qualified medical care when filing claims or during tax preparation.

How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Indiana?

Telemedicine consultations with orthopedic surgeons typically cost 20-30% less than in-person visits in Indiana, though physical examination limitations may require follow-up office visits. Many insurers now cover telehealth visits at the same rate as in-person consultations, making them an affordable option for initial consultations or follow-up care. However, Hip Replacement Surgery often requires hands-on examination and imaging review, so telemedicine is most useful for post-operative check-ins and treatment planning discussions.

Click a state to compare costs

Average Visit Cost

$734
$4,747

Office visit (CPT 27130)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$10,565
$4,747
2Alaska
Range: $1,137$6,292
$3,083
3Connecticut
Range: $807$6,060
$2,863
4New York
Range: $900$6,060
$2,750
5Georgia
Range: $1,115$5,088
$2,741
6Massachusetts
Range: $80$6,060
$2,717
7Wyoming
Range: $1,632$4,245
$2,717
8Rhode Island
Range: $80$6,060
$2,706
9New Hampshire
Range: $1,435$4,083
$2,653
10Montana
Range: $80$6,442
$2,639
11Delaware
Range: $80$6,060
$2,571
12Nebraska
Range: $1,627$3,012
$2,526
13Pennsylvania
Range: $80$6,060
$2,506
14Washington
Range: $1,500$3,707
$2,415
15Iowa
Range: $91$3,950
$2,326
16New Jersey
Range: $953$4,590
$2,322
17Maine
Range: $1,585$2,639
$2,238
18New Mexico
Range: $1,203$3,377
$2,225
19District of Columbia
Range: $1,045$3,311
$2,214
20West Virginia
Range: $90$4,590
$2,119
21Colorado
Range: $940$3,328
$2,082
22Utah
Range: $90$2,909
$1,936
23North Carolina
Range: $90$3,786
$1,919
24Vermont
Range: $959$3,289
$1,902
25Oregon
Range: $90$3,637
$1,883
26Mississippi
Range: $1,040$3,084
$1,819
27Illinois
Range: $85$3,707
$1,819
28Missouri
Range: $1,274$2,249
$1,813
29Kentucky
Range: $386$3,244
$1,804
30Tennessee
Range: $1,095$2,579
$1,792
31Indiana
Range: $85$3,549
$1,751
32Nevada
Range: $1,115$2,360
$1,717
33California
Range: $80$3,012
$1,704
34Kansas
Range: $1,274$2,226
$1,700
35Maryland
Range: $1,124$2,667
$1,694
36Virginia
Range: $920$2,659
$1,684
37Louisiana
Range: $960$2,505
$1,674
38Idaho
Range: $90$3,023
$1,652
39Hawaii
Range: $90$2,947
$1,644
40South Dakota
Range: $90$3,012
$1,624
41Michigan
Range: $80$2,869
$1,566
42Arizona
Range: $1,097$2,279
$1,504
43Arkansas
Range: $90$2,535
$1,488
44South Carolina
Range: $80$2,907
$1,477
45Alabama
Range: $80$2,767
$1,453
46Ohio
Range: $85$2,491
$1,331
47Oklahoma
Range: $85$2,536
$1,298
48Texas
Range: $90$2,602
$1,277
49Minnesota
Range: $91$3,227
$1,136
50Florida
Range: $35$2,391
$827
51North Dakota
Range: $91$2,019
$734
Hip Replacement in Other States